Provider Demographics
NPI:1770393977
Name:HUZA ENDODONTICS, LLC
Entity type:Organization
Organization Name:HUZA ENDODONTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUZA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-927-3220
Mailing Address - Street 1:115 TECHNOLOGY DR UNIT C106
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6347
Mailing Address - Country:US
Mailing Address - Phone:203-445-6000
Mailing Address - Fax:475-231-1041
Practice Address - Street 1:115 TECHNOLOGY DR UNIT C106
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6347
Practice Address - Country:US
Practice Address - Phone:203-445-6000
Practice Address - Fax:475-231-1041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty